Long-term changes in exercise capacity, quality of life, body anthropometry, and lipid profiles after a cardiac rehabilitation program in obese patients with coronary heart disease

Abstract Sleep disorders are very common in patients with heart disease. The objective of this study has been to assess the effects of a cardiac rehabilitation program on sleep quality, quality of life, anxiety, depression and functional capacity in patients with heart disease. A pre-test/post-test design study was carried out on the 240 patients included in the cardiac rehabilitation program at the “Virgen de la Victoria” hospital in Malaga; 50 patients (20.8%) were included in the program due to heart failure (HF) and the rest of them after having undergone a revascularization procedure or a surgery for valvular disease. The patients underwent a cardiac rehabilitation program for 8 weeks, based on programmed physical training, health education and psychological treatment. At the end of the program, scores improved on the Pittsburgh Sleep Quality Index (p = 0.008), the SF-36 Quality of Life Questionnaire (p <0.001), the Goldberg Anxiety and Depression Scale (p <0.001) as well as in functional capacity (p <0.001). When comparing patients with heart failure with those without, no differences were found in sleep quality, quality of life, anxiety or depression. In conclusion, the completion of an 8-week cardiac rehabilitation program may improve, in the short term, the quality of sleep in patients with heart disease.

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Effectiveness of e-Health cardiac rehabilitation program on quality of life associated with symptoms of anxiety and depression in moderate-risk patients

Scientific Reports ◽

10.1038/s41598-021-83231-y ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Raquel Bravo-Escobar ◽

Alicia González-Represas ◽

Adela María Gómez-González ◽

Ángela Heredia-Torres

Keyword(s):

Quality Of Life ◽

Cardiac Rehabilitation ◽

Rehabilitation Program ◽

Anxiety And Depression ◽

Depression Symptoms ◽

Cardiac Rehabilitation Program ◽

Moderate Risk ◽

Risk Patients ◽

The Impact

AbstractExploring new models of medical care requires evaluating the impact of new care strategies not only on physiological parameters but also on the quality of life of the patient. On the other hand the presence of anxiety together with depression requires further consideration when planning appropriate management strategies. The aim of this study was to examine the effectiveness of a home-based cardiac rehabilitation program incorporating an e-Health technology on health-related quality of life associated with symptoms of anxiety and depression in moderate-risk patients. A multicenter, randomized controlled clinical trial was designed to compare a traditional hospital based cardiac rehabilitation program (n = 38, 35 male) with a mixed home surveillance program where patients exercised at home with a remote electrocardiographic monitoring device (n = 33, 31 male). The Short Form-36 (SF-36) Health Survey and the Goldberg questionnaire were used to evaluate quality of life and the presence of symptoms of anxiety and depression respectively. The results of this study show that the type of cardiac rehabilitation program did not influence the improvement in quality of life (p = 0.854), but the presence of symptoms of anxiety and depression did (p = 0.001). Although both programs achieved a decrease in anxiety and depression symptoms and improved functional capacity (p ≤ 0.001), a significant interaction effect was found between the group with or without anxiety and depression symptoms and the type of program in the bodily pain dimension (p = 0.021). Trial registration: Retrospectively registered NCT02796404 (10/06/2016) in clinialtrials.gov.

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